Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 5501013237 | MI |
NPI | 1003310632 |
---|---|
Provider Name | Dr. April Massey |
First Address | Grand Blanc, MI 48439-8648 |
Second Address | Grand Blanc, MI 48439-5502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2018 |
Last Update Date | 20/03/2018 |